Follow-up·April 20, 2023

On 04/20/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted a subsequent case management visit at this facility. LPA met with assistant administrator Ginger Enriquez and explained the purpose of the visit. LPA is to issue the final results of the death investigation of resident # 1 (R1). The regional office received a copy of the death report from the facility and reported the death of (R1) on 09/02/22. The death report stated on 08/26/22 (R1) was declared dead at a park in Pomona, California reported by Investigator K. Anderson of the Pomona Police Department. The facility staff had last seen (R1) on 08/26/22 after breakfast at the facility and left the premises on his own for his daily outing. The Department interviewed the family member of the resident and administrator Ginger Enriquez. A police report was obtained and a death certificate revealed that (R1’s) cause of death on 08/26/22 was due to a some type of drug overdose. Law enforcement performed life saving measures but were not successful in reviving (R1). According to law enforcement, signs of foul play were not evident. Death certificate indicated, "DEFERRED", after an autopsy, caused of death has not been determined and the medical examiner is requesting more investigation into the death, including additional studies. Based on information gathered, the Department found no evidence of negligence or foul play by the facility and will now close this investigation. An exit interview is conducted with Ginger Enriquez and a copy of the report is provided. This report serves as an amendment to clarify lines # 12, #13 & #18. It does not supersedes the investigation conclusion reflected on report created 04/20/23 .